APPLICATION FOR WINTER 2008 PSY 607 SEMINAR

This seminar can be used as a clinical elective for grad students in
UO Clinical Psychology program. Pending.
Please use the PRINT command in your web browser to print a copy of this form,
fill it out completely (10 items), and return to Jennifer Freyd's mailbox in Straub
Hall (or send via campus mail to "Jennifer Freyd, Psychology"). Please do not
send electronic versions: only hard copy applications turned in as instructed
can be considered.

1. Date

2. Name

3. Student ID#

4. Email Address

5. Campus mail address (or if not available, USPS mail address):

6. Graduate or Major Department

7. Major Research Area and Advisor

8. Year in Program

9. Do you want to register for this seminar for credit (yes / no)? (Applications
are required whether you wish to register or simply audit. Students who wish
to register will have priority if there are more applicants than space available.)

10. Why do you want to take this seminar? what do you hope to get out of it?
and what suggestions or concerns do you have?